Funders Regional RoundtableSept. 21, 2009 , New Albany, Indiana
Philip B. Stafford, Ph.D.Center on Aging & Community, Indiana University
By the year 2010, almost half of all women will be at least 50 years old.
Source: Age Wave
The first of 77 million baby-boomers will turn
65 in 2011.
Source: Age Wave
Indiana NNORC’s(naturally occurring retirement communities)
•South Bend •Gary •Indianapolis •Linton•Huntington
County % growth in general pop.2000-2006
% growth in the 65+ pop.2000-2006
Harrison 7.77 12.2Floyd 2.47 4.6Clark 7.36 8.3Scott 3.24 13Jefferson 3.04 8.7Switzerland 7.23 13.4Ohio 3.61 3.1Dearborn 7.71 11.7Ripley 4.62 7Crawford 3.67 3.3Orange 1.83 3.0Washington 3.08 7Lawrence 1.07 6.8Jackson 2.59 5.5Jennings 3.34 8.1Decatur 1.6 2.7
Bartholomew 4.21 14.6
Negligible growth/Rapid 65+
Rapid growth (*) / Equivalent 65+
Rapid growth/ Even more rapid 64+
Modest growth / Even more rapid 65+
Aging is not about time and the body, but about relationships… and the meaning of place.
“Community is the smallest unit of
health.”
Wendell Berry, Health is Membership In Another Turn of the Crank
Our work should help create good places to
grow up and grow old…
livable, lifespan communities
Indiana Partnerships for Lifespan Communities
The first application of the AdvantAge Initiative on a statewide basis
Three year Administration on Aging Planning Demonstration Site
“…a comprehensive, participatory, and data driven initiative to create good places to
grow up and grow old in Indiana.”
Reproduced by permission of The AdvantAge Initiative
Center for Home Care Policy & Research Visiting Nurse Service of New York
Optimizes Physical and Mental Health and
Well Being
Promotes healthy behaviors
Supports community activities that enhance well being
Provides ready access to preventative health services
Provides access to medical, social, and palliative services
Addresses Basic Needs
Provides appropriate and
affordable housing
Promotes safety at home and in the neighborhood
Assures no one goes hungry
Provides useful information about available services
Promotes Social and Civic Engagement
Fosters meaningful connections
with family, neighbors, and friends Promotes active engagement in
community life Provides opportunities for
meaningful paid and voluntary work
Makes aging issues a community-wide priority The Four
Domains of An Elder-Friendly
Community
Maximizes Independence for Frail
and Disabled
Mobilizes resources to facilitate “living at home”
Provides accessible transportation
Supports family and other caregivers
AdvantAge Initiative Tool Components
Elder-Friendly Community Framework
33 indicators of elder-friendliness
Consumer survey
Technical assistance
AdvantAge Initiative Survey Conducted in:
10 pilot communities: Six neighborhoods of
Chicago, IL Indianapolis, IN Jacksonville, FL Lincoln Square, NYC Maricopa County, AZ Orange County, FL Puyallup, WA Santa Clarita, CA Upper West Side, NYC Yonkers, NY
National Survey Grand Rapids, MI Contra Costa County, CA Parsippany, NJ Newaygo County, MI
State of Indiana El Paso County, TX Chinatown, NY 14 grantee-communities of
the Robert Wood Johnson Foundation Community Partnerships for Older Adults program (CPOA)
Percentage of people age 60+ who want to remain in their current residence and are confident they will be able to afford to do so
Unweighted N=4,272Weighted N=918,078
Unweighted N=4,509Weighted N=973,489
Disagree5%
Agree*94%
VeryConfident
61%
Not VeryConfident**
39%
Neither/DK/RF
1%
We asked respondents whether they agree or disagree with the following statement: “What I’d really like to do is stay in my current residence for as long as possible.”
For people who answered “agree” we calculated the percentage of adults age 60+ who were very confident/not very confident that they will be able to afford to live in their current residence for as long as they would like.
*Agree includes those who said Strongly agree or Somewhat agree.**Not Very Confident includes those who said Somewhat confident, Not too confident, Not confident at all, Don’t know, or Refused.
Figure 2.1, Indiana§
Note: Percentages may not add up to 100% due to rounding and/or missing information.
Source: AdvantAge Initiative Community Survey in Indiana 2008
§ Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in 2006.
Area 15=45%#1
Percentage of people age 60+ who do not know whom to call if they need information about services in their
community*
Unweighted N=4,509Weighted N=973,489
Note: Percentages may not add up to 100% due to rounding and/or missing information.
Figure 8.1, Indiana§
*People were asked to indicate the best resource, such as a person or an organization, in their city, town, or county to get information on various services.
Do Not Know Whom to Call
25% Family/Neighbors
City/County/Office of Aging/Social Services/Other Agency
27%
Church/Synagogue
3%
Other
Internet/Phone Book/Other Media
2%
Senior Center12%
Source: AdvantAge Initiative Community Survey in Indiana 2008
5%
Medical Center/Health Professional
16%
10%
§ Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in 2006.
Area 12= 17% (lowest in state)Area 14= 35% (highest in state)
Percentage of people age 60+ who thought they needed the help of a health care professional because they felt depressed
or anxious and have not seen one (for those symptoms)*
Unweighted N=317Weighted N=72,242
Unweighted N=4,509Weighted N=973,489
7%
Has seen a health
professional70%
Has not seen a health
professional30%
Did not need professional
help92%
Figure 12.1, Indiana§
Note: Percentages may not add up to 100% due to rounding and/or missing information.
*People were asked whether in the past year, there was a time when they thought they needed the help of a health professional or a counselor because they felt depressed or anxious.
*People who answered “yes” were asked whether they obtained the professional help or counseling they thought they needed.
Source: AdvantAge Initiative Community Survey in Indiana 2008
Needed professional
help
§ Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in 2006.
DK/RF1%
Area 11=53%(#1)
Percentage of people age 69+ who participate in regular leisure time activity*
Unweighted N=4,509Weighted N=973,489
Note: Percentages may not add up to 100% due to rounding and/or missing information.
Figure 15.1, Indiana§
*“Regular leisure time activity” is defined as 1) light or moderate activity that causes light sweating or a light to moderate increase in breathing or heart rate and occurs five or more times per week for at least 30 minutes each time, and/or 2) vigorous activity that causes heavy sweating or large increases in breathing or heart rate and occurs three or more times per week for at least 20 minutes each time. People who engage in other combinations of the two types of physical activities described above are included in the category “some activity.” Those who are unable to or do not engage or seldom engage in physical activity are included in the category “no activity.”
No activity33%
Regular leisure time activity
48%
Some activity
19%
Source: AdvantAge Initiative Community Survey in Indiana 2008
§ Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in 2006.
DK/RF1%
12= 29%(#1)
Area 15= 25%(#1) - potential
Percentage of people age 60+ who participate in volunteer work*
Do not participate in volunteer work
61%
Participate in volunteer work
39%
Unweighted N=4,509Weighted N=973,489
Note: Percentages may not add up to 100% due to rounding and/or missing information.
Figure 31.1, Indiana§
*People were asked if they do volunteer work and if so what type of volunteer work they do.
Source: AdvantAge Initiative Community Survey in Indiana 2008
§ Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in 2006.
DK/RF<1%‡
‡ This percentage is based on fewer than 20 respondents (Unweighted N<20) and should be interpreted with caution.
Area 12=48%(#1)
Percentage of people age 60+ who would like to be working for pay*
Unweighted N=3,254Weighted N=708,611
Unweighted N=4,509Weighted N=973,489
Not working73%
Would not like to work
for pay75%
Figure 33.1, Indiana§
Note: Percentages may not add up to 100% due to rounding and/or missing information.
*People were asked what their current employment status is. *People who were not working were asked whether they would like to be working for pay.
Working part time 13%
23%
Source: AdvantAge Initiative Community Survey in Indiana 2008
Working full time
14%
Would like to work for pay
§ Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in 2006.
DK/RF2%
DK/RF<1% ‡
‡ This percentage is based on fewer than 20 respondents (Unweighted N<20) and should be interpreted with caution.
Area 15=30%(#1)
Mammogram1 Among Women Aged 65 and Older
64%60%
56%50%
54%
0%
33%
66%
Huntington NNORC3,6Area 33,5Indiana3,4National2
1 The AdvantAge Initiative survey refers to mammogram in the past 12 months. National figure refers to mammogram in the past 2 years (data for 2005).
4 Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in 2006 (Unweighted N=1,786; Weighted N=423,327).
2 Federal Interagency Forum on Aging-Related Statistics. Older Americans 2008: Key Indicators of Well-Being. Federal Interagency Forum on Aging-Related Statistics. Washington, DC: U.S. Government Printing Office. March 2008.
5 Area 3 includes Adams, Allen, De Kalb, Huntington, Lagrange, Noble, Steuben, Wells, and Whitley Counties (Unweighted N=109; Weighted N=43,306).6 Unweighted N=45; Weighted N=297.
3 AdvantAge Initiative Community Survey in Indiana, 2008
Area 15
Percentage of householders age 60+ in housing units with home modification needs*
Unweighted N=667Weighted N=147,283
Unweighted N=4,509Weighted N=973,489
One or more modification
needed15%
No modifications
needed85%
Planning to modify
79%
Not planning to modify
*People were asked whether their current residence needs any significant repairs, modifications, or changes to improve their ability to live there over the next five years.
*People who said that their homes need modification were asked if they plan to make the change over the next five years.
Figure 3.1, Indiana§
Note: Percentages may not add up to 100% due to rounding and/or missing information.
17%
4%DK/RF
Source: AdvantAge Initiative Community Survey in Indiana 2008
§ Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in 2006.
12=90%(#1)14=69%(#15)
Area 1417%= 6927
Type of modification needed
3%
4%
5%
6%
7%
7%
8%
9%Cosmetic/minor repairs
Medical emergency response system
Bathroom modification
Structural changes/ major repairs
Better cooling in the summer
Fix problem with insects/rodents
Accommodations for disabilities
Other
Better heating in the winter
Figure 3.2, Indiana-Area 14§
Unweighted N=302Weighted N=41,845
Source: AdvantAge Initiative Community Survey in Indiana 2008§ Area 14 includes Clark, Floyd, Harrison & Scott Counties.
‡ This percentage is based on fewer than 20 respondents (Unweighted N<20) and should be interpreted with caution.
‡
‡
‡
‡
‡
<1%
3347
2755
1673
# with bathroom modification need
# planning to modify
# not planning to modify
Can’t afford it
2755 1295 881 590
Average cost of bathroom modification
Cost x total need Annual over five years
$500 $295,000 $59,000 +10%
= $64,900/4=$16,225
Safe Bath Program
Active and Contributing!85% voted in last
election37% contacted an
elected representative89% made donation of
goods or services to charity
22% provide help to frail or disabled friend and family
7% live with grandchildren
23% non-working would like to work for pay
39% participated in volunteer work
81% report good to excellent health
48% engage in regular physical activity
88% engaged in at least one social, religious or cultural activity last week
Next Steps•Area plans feed into 2010 state plan•New partnerships:
•Indiana Grantmakers Alliance•Indiana Chamber of Commerce•WFYI / State Policymakers•Communities for Life
•New national tools:•Educational modules•Social marketing•Evaluation
www.agingindiana.org
Contact InformationPhilip B. Stafford, Ph.D.Director, Center on
Aging and Community, Indiana Institute on Disability & Community
2853 East Tenth, Bloomington, IN, 47408
(812) [email protected] www.agingindiana.org
National AdvantAge Initiative
Mia OberlinkCenter for Home Care
Policy and Research107 East 70th, New York,
New York 10021212-609-1537 www.advantageinitiative.
org
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